Email this article Comprehensive diagnostic and medical endoscopy of gastric diseases prior to planning a surgical intervention for cardiovascular disorders: a case study of a bezoar
- Authors: Mecheva L.V.1, Tereshchenko S.G.1, Grigor'ev N.S.1, Kaluzhskiy A.A.1
-
Affiliations:
- Moscow Regional Research and Clinical Institute, Moscow
- Issue: Vol 44, No 6 (2016)
- Pages: 785-789
- Section: CLINICAL CASES
- URL: https://almclinmed.ru/jour/article/view/384
- DOI: https://doi.org/10.18786/2072-0505-2016-44-6-785-789
- ID: 384
Cite item
Full Text
Abstract
Big bezoars are rare foreign bodies of the stomach. In the literature, the problem of bezoars has been described mainly as isolated clinical cases. In this publication we present a case of endoscopic removal of a big bezoar, along with the diagnostics and treatment of concomitant erosive and ulcerative lesions, as well as detection of a gastric malignancy (tubular adenoma with severely dysplastic foci). The active endoscopic approach allowed for a timely preparation of the patient for a reconstructive surgery on the low extremity vasculature. The paper may be of interest for internists, gastroenterologists, surgeons, providing them with a motivation to perform a regular follow up of upper gastrointestinal tract in patients after surgical interventions on the stomach and duodenum. This clinical observation is a good example for endoscopists of a successful diagnostics and treatment of a rare comorbid disorder.
About the authors
L. V. Mecheva
Moscow Regional Research and Clinical Institute, Moscow
Author for correspondence.
Email: l.v.mecheva@gmail.com
Mecheva Lyudmila V. – Junior Research Fellow, Endoscopy Department.
61/2-13 Shchepkina ul., Moscow, 129110, Russian Federation. Tel.: +7 (495) 631 05 55. E-mail: l.v.mecheva@gmail.com Russian FederationS. G. Tereshchenko
Moscow Regional Research and Clinical Institute, Moscow
Email: fake@neicon.ru
Tereshchenko Sergey G. – MD, PhD, Head of Endoscopy Department Russian Federation
N. S. Grigor'ev
Moscow Regional Research and Clinical Institute, Moscow
Email: fake@neicon.ru
Grigor'ev Nikita S. – Junior Research Fellow, Department of Abdominal Surgery Russian Federation
A. A. Kaluzhskiy
Moscow Regional Research and Clinical Institute, Moscow
Email: fake@neicon.ru
Kaluzhskiy Anatoliy A. – MD, PhD, Associate Professor, Chair of Radiology, Postgraduate Training Faculty Russian Federation
References
- Соботович ДВ, Колмаков СА, Лиханов АА. Гигантский трихобезоар желудка. Сибирский медицинский журнал (Иркутск). 2010;94(3):119-20.
- Старков ЮГ, Ветюгова ЛВ, Шишин КВ, Недо-лужко ИЮ. Удаление гигантского трихобе-зоара желудка с применением методики единого лапароскопического доступа у пациентки с синдромом Рапунцель. Эндоскопическая хирургия. 2012;18(6):15-7.
- Джулай ГС. Безоары пищеварительного тракта: пугающие находки. Верхневолжский медицинский журнал. 2014;12(1): 40-2.
- Erzurumlu K, Malazgirt Z, Bektas A, Dervisog-lu A, Polat C, Senyurek G, Yetim I, Ozkan K. Gastrointestinal bezoars: a retrospective analysis of 34 cases. World J Gastroenterol. 2005;11(12): 1813-7. doi: 10.3748/WJG.v11.i12.1813.
- Nasri B, Calin M, Shah A, Gilchrist B. A rare cause of small bowel obstruction due to be-zoar in a virgin abdomen. Int J Surg Case Rep. 2016;19:144-6. doi: 10.1016/j.ijscr.2015.12.039.
- Айзенштат АИ. К вопросу о безоарах в оперированном желудке. В: Пономарев АА, Курыгин АА. Редкие неопухолевые хирургические заболевания пищевода, желудка и двенадцатиперстной кишки. Л.: Медицина; 1987. c. 144-9.
- Acar T, Tuncal S, Aydin R. An unusual cause of gastrointestinal obstruction: bezoar. N Z Med J. 2003;116(1173):U422.
- Iwamuro M, Okada H, Matsueda K, Inaba T, Kusumoto C, Imagawa A, Yamamoto K. Review of the diagnosis and management of gastrointestinal bezoars. World J Gastrointest Endosc. 2015;7(4):336-45. doi: 10.4253/wjge.v7.i4.336.
- Брегель АИ, Пинский СБ, Мутин НА, Андреев ВВ. Диагностическая и лечебная эзофагогастродуоденоскопия при инородных телах пищевода, желудка и двенадцатиперстной кишки. Сибирский медицинский журнал (Иркутск). 2000;20(1): 73-6.
- Sharma D, Srivastava M, Babu R, Anand R, Rohtagi A, Thomas S. Laparoscopic treatment of gastric bezoar. JSLS. 2010;14(2):263-7. doi: 10.4293/108680810X12785289144566.
- Graham DY. Nonsteroidal anti-inflammatory drugs, Helicobacter pylori, and ulcers: where we stand. Am J Gastroenterol. 1996;91(10):2080-6.
Supplementary files
